A case of retroperitoneal hematoma by spontaneous rupture of renal capsule in hemorrhagic fever with renal syndrome presented with anuria and unilateral flank pain.
- Author:
Jae Hoon LI
1
;
Jeong Hyun PARK
;
Myeung Su LEE
;
Seon Ho AHN
;
Ju Hung SONG
Author Information
1. Department of Internal Medicine, Wonkwang University, School of Medicine Iksan, Korea. ashneph@wmc.wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
Hemorrhagic fever with renal syndrome (HFRS);
Rupture;
Hematoma
- MeSH:
Adult;
Anuria*;
Brain;
Fever;
Flank Pain*;
Hematoma*;
Hemorrhage;
Hemorrhagic Fever with Renal Syndrome*;
Hospitalization;
Humans;
Kidney;
Lung;
Male;
Myalgia;
Renal Artery;
Renal Dialysis;
Rupture;
Rupture, Spontaneous*;
Spleen
- From:Korean Journal of Medicine
2002;62(6):671-674
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The hemorrhage in hemorrhagic fever with renal syndrome (HFRS) varies from transient petechial lesions to fulminant and massive bleeding. Also in vital organ such as lung, kidney, spleen, brain and pituitary, hemorrhage occasionally occurs spontaneously or by minor trauma. We report a case of retroperitoneal hematoma by spontaneous rupture of renal capsule in HFRS presented with anuria and right flank pain. A 34-year-old male was admitted to our hospital presenting anuria and right flank pain for 3 days. He also had suffered from fever and myalgia since 5 days ago. Sonography and computed tomography were performed at the day of hospitalization and showed massive perirenal hematoma with ruptured renal capsule and spurtting subcapsular renal artery on the right kidney. He was diagnosed as HFRS and treated with hemodialysis, fluid infusion and transfusion. After conservative treatment, he recovered from HFRS without further blood loss.
